Provider Demographics
NPI:1578434205
Name:PATEL, JAHANVIBEN CHETANKUMAR
Entity type:Individual
Prefix:
First Name:JAHANVIBEN
Middle Name:CHETANKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5167 SPRING RIDGE DR E
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-9577
Mailing Address - Country:US
Mailing Address - Phone:610-674-1000
Mailing Address - Fax:
Practice Address - Street 1:5167 SPRING RIDGE DR E
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-9577
Practice Address - Country:US
Practice Address - Phone:610-674-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT031774208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation